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NPI 1619682911

NPI 1619682911 : SURERIDEL.L.C : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1619682911
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    Entity Type          |    Organization 
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    Legal Business Name  |    SURERIDEL.L.C 
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Dates
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    Enumeration Date     |    01/20/2023
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    Last Update Date     |    05/09/2025
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Provider Practice Location Address
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    Address Line         |    730 ALMOND AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45417-1207
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    Country              |    US
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    Telephone            |    937-829-7072
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    730 ALMOND AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45417-1207
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    Country              |    US
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    Telephone            |    937-829-7072
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTOPHER  PATRICK 
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    Credential           |    
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    Telephone            |    937-829-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    342000000X
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    Taxonomy Name        |    Transportation Network Company
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    License Number       |    
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    License Number State |    
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